Individual
MRS. NATALIE SAUNDERS WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4075 COPPER RIDGE DR, TRAVERSE, MI 49684-4796
(321) 946-8970
(231) 946-1730
Mailing address
543 FOX CV, HAUGHTON, LA 71037-9383
(318) 537-0769
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN123613
LA
363LF0000X
Family Nurse Practitioner
Primary
AP07420
LA
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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